Sinon House Therapeutic Unit

Quality monitoring systems were inconsistent to be able to identify shortfalls and drive continuous improvement in the service. We found concerns with fire safety, incidents, and clinical support for assistant psychologists.

We signposted the provider to infection control guidance to be assured they were making sure infection outbreaks could be effectively prevented or managed.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service support best practice.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support: • The model of care maximised people's choice, control and independence. Young people views were actively sought and acted on and they were involved in planning their care. Right care: • Care was person-centred and promoted people's dignity, privacy and human rights. Everyone told us that young people were treated with dignity and respect. Right culture:

• The ethos, values, attitudes and behaviours of leaders and care staff ensured people using services lead confident, inclusive and empowered lives. Although there was a high turnover of staff at the service, the registered manager led by example and provided a positive environment for young people and staff.

Young people benefitted from the positive culture at the service. The registered manager was open, approachable and listened and responded to young people and staff. Family members described the registered manager as, "Fantastic", "Really positive" and "Amazing" in the support they gave to young people.

Assessment of risk include clear guidance for staff on how to keep young people safe. Staff understood how to follow safeguarding policies and procedures to help keep young people safe.

Young people's health and well-being was monitored, and liaison took place with a range of health and social care professionals to support this. Staff understood there were challenges in supporting young people to eat healthy. Young people received the support they needed with their medicines.

Young people were treated well and with dignity and respect which had a positive impact on their well- being. Family members told us staff had developed positive relationships with young people. One family member told us, "I said to X (young person) I really think you are in the best place you could be, and X responded that they agreed".

The service was responsive to young people's needs. Young people had opportunities to go out and take part in things they were interested in.

Staff were checked that they were suitable to work with young people before they started to support people. There were enough trained staff available, so people received support when they needed it. The staff team felt well supported and listened to by other team members and the registered manager.